| NPI | 1114927944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101013557) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS012742) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2008-12-17 |